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Organization
SAFE HARBOR FOR INDIVIDUAL WITH DISABILITIES
Active
Organization
SAFE HARBOR FOR INDIVIDUAL WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA YVETTE ALEXANDER (CASE MANAGER/CARE COORDINATOR)
(850) 973-4009
Entity
Organization
Contact information
Practice address
2315 NW LITTLE CAT RD, MADISON, FL 32340-4256
(850) 973-4009
Mailing address
2315 NW LITTLE CAT RD, MADISON, FL 32340-4256
(850) 973-4009
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009552100
—
FL
Enumeration date
12/16/2015
Last updated
12/17/2015
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